Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1033101878
Practice Locations (3)
1550 E 23RD AVE N
FREMONT, NE 680252414
4027212623
450 E 23RD ST
FREMONT, NE 680252303
4027211610
AMG-SOUTHERN TENNESSEE LLC
155 HOSPITAL RD, SUITE B
WINCHESTER, TN 373982495
9319682376
Source: CMS National Downloadable File, September 2026.